MRS. AMBER LYNN ABELN (NPI# 1720275027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720275027 |
Entity Type | Individual |
Full Name | MRS. AMBER LYNN ABELN |
Credential | ANP |
Practice Address |
1241 W. Stadium Blvd. Jefferson City MO 65109-6023 |
Practice Telephone | 5735567719 |
Practice Fax Number | 5736352156 |
Mailing Telephone | 5735567719 |
Mailing Fax Number | 5736352156 |
Enumeration Date | 2007-10-01 |
Last Update Date | 2019-12-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2007008405 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | ANTHEM | 221045 | 01 |
IL | HEALTHLINK | 896920 | 01 |
MO | AETNA | 9627071 | 01 |
MO | HEALTHLINK | 896920 | 01 |
IL | ANTHEM | 221045 | 01 |
Street Address |
1241 W. STADIUM BLVD. |
City | JEFFERSON CITY |
State | MO |
Zip Code | 65109-6023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144226465 | Tamara Vann Hopkins | Internal Medicine | 1241 W. Stadium Blvd., Jefferson City, MO 65109-6023 | 2005-06-22 |
1184144156 | Nicole Renee Mistler | Registered Nurse | 1241 W. Stadium Blvd., Jefferson City, MO 65109-6023 | 2017-06-21 |
1134657117 | Kristen Shavaughn Stampehl | Nurse Practitioner | 1241 W. Stadium Blvd., Jefferson City, MO 65109-6023 | 2017-06-02 |
1700323847 | Susan Hodges | Nurse Practitioner | 1241 W. Stadium Blvd., Jefferson City, MO 65109-6023 | 2017-01-27 |
1396196549 | Rachel Marie Rucker | Family Medicine | 1241 W. Stadium Blvd., Jefferson City, MO 65109-6023 | 2016-06-29 |
1447580030 | Anna Bernadine Hummel | Nurse Practitioner | 1241 W. Stadium Blvd., Jefferson City, MO 65109-6023 | 2010-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
Find all providers in zip 65109 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497978399 | Melissa Jane Maerz-malone | Nurse Practitioner | 6336 Algoa Rd Ste 200, Jefferson City, MO 65101-9877 | 2007-04-10 |
1437521036 | Sharlene Galbraith | Nurse Practitioner | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2015-10-22 |
1255605895 | Kimberly R Lorentz | Nurse Practitioner | 1241 W Stadium Blvd, Jefferson City, MO 65109 | 2012-02-29 |
1609072248 | Susan R Lange | Nurse Practitioner | 1705 Christy Dr, Suite 201, Jefferson City, MO 65101-5195 | 2007-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619285 | Jennifer Lee Speiser | Nurse Practitioner | 12545 Olive Blvd, Saint Louis, MO 63141-6311 | 2020-11-04 |
1215537220 | John Franklin Niswonger | Nurse Practitioner | 861 Canyon Trl, Jackson, MO 63755-4001 | 2020-10-28 |
1972119014 | Michael Christopher Hassert | Nurse Practitioner | 2290 Graystone Dr, Saint Charles, MO 63303-5159 | 2020-09-22 |
1265045264 | Andrea Jane Montgomery | Nurse Practitioner | 444 Honeysuckle Ln, Saint Louis, MO 63119-4521 | 2020-08-28 |
1710596424 | Clay Thornburg | Nurse Practitioner | 602 S Home St, Palmyra, MO 63461-1747 | 2020-07-28 |
1396362224 | Erin M Kehoe | Nurse Practitioner | 12973 Olive Blvd, Saint Louis, MO 63141-6149 | 2020-06-26 |
1508482506 | Matthew Dale Tieskoetter | Nurse Practitioner | 333 S Kirkwood Rd Ste 203, Saint Louis, MO 63122-6161 | 2020-06-25 |
1497391924 | Stephnie Michelle Wriedt | Nurse Practitioner | 1605 E Broadway Ste 250, Columbia, MO 65201-8031 | 2019-11-19 |
1861033615 | Benedicta Esi | Nurse Practitioner | 6024 Pennsylvania Ave, Saint Louis, MO 63111-2555 | 2019-10-02 |
1245896893 | Katina D Smith | Nurse Practitioner | 8820 Mcnulty Dr, Saint Louis, MO 63114-4146 | 2019-05-18 |
Find all providers with the same taxonomy |
City | JEFFERSON CITY |
Zip Code | 65109 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.